A 71 year old man with history of a stroke 11 years ago (good recovery) and peripheral vascular disease (smoker, previous femoral cross over graft 3 years ago) attended for a colonoscopy under the UK Bowel Cancer Screening Programme. He is normally on aspirin and warfarin. The latter was stopped 5 days prior to the procedure and INR on the day was 0.9.
At the index colonoscopy, 6 polyps were found and four of these were removed. Two polyps (both 1- 1.5cm) in the left colon were left for another day. The video shows the EMR of the trickiest polyp which was situated in the distal transverse colon.
The colonoscopy went uneventfully but whilst in the recovery area, the patient developed weakness in his left arm and leg and had left homonymous hemianopia. The weakness resolved quickly but he still had the hemianopia the next day. CT scan of the head showed a new right occipital infarct. |
[斯坦福大学课程：临床解剖学].1
内镜检查发现鼻息肉
经阴道阑尾切除术（NOTES）
开放性修补膀胱阴道瘘（经阴式入路）
发表于 2017-5-4 11:26:11
提升卡
置顶卡
沉默卡
喧嚣卡
变色卡
千斤顶
显身卡
楼主
